Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $803.00 / $2,673.00 / $7,542.00	Facility		$803.00	$2,673.00	$7,542.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,335.17 / $1,539.90 / $1,684.63	Professional		$1,335.17	$1,539.90	$1,684.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,891.76 / $4,829.85 / $10,398.03	Facility		$2,891.76	$4,829.85	$10,398.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $637.10 / $637.10 / $637.10	Professional		$637.10	$637.10	$637.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,619.61 / $3,619.61 / $3,619.61	Facility		$3,619.61	$3,619.61	$3,619.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,117.37 / $14,302.50 / $14,302.50	Facility		$10,117.37	$14,302.50	$14,302.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,473.65 / $8,620.34 / $13,322.78	Professional		$8,473.65	$8,620.34	$13,322.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $700.40 / $1,521.35 / $3,208.45	Facility		$700.40	$1,521.35	$3,208.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $658.73 / $658.73 / $1,473.29	Professional		$658.73	$658.73	$1,473.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $735.42 / $1,588.99 / $3,214.58	Facility		$735.42	$1,588.99	$3,214.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,473.29 / $1,473.29 / $1,473.29	Professional		$1,473.29	$1,473.29	$1,473.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,154.00 / $3,314.00 / $7,600.00	Facility		$1,154.00	$3,314.00	$7,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,356.97 / $1,865.83 / $2,961.01	Professional		$1,356.97	$1,865.83	$2,961.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $1,448.90 / $2,047.77	Professional		$56.55	$1,448.90	$2,047.77